Difficulty: Medium
Average Score: 83%
Simulated
A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include documenting which of the following information?
Correct answer
B, C, E
Rationale
Documenting interventions (B), patient response (C), and site (E) ensures care continuity and accuracy (e.g., arm vs. leg affects readings). Frequency (A) and person (D) are useful but less critical for immediate clinical decisions. B, C, E are essential per nursing standards.